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基于真实世界评估 GPT 咨询在肺结节管理中的有效性研究方案

A real-world study evaluating the effectiveness of GPT-based consultations in lung nodule management

杨 达 伟1,2,3,4,5,6,王 宁 舫1,3,4,6,王 源1,3,4,6,宋 元 林1,2,3,4,5,6,胡 洁1,2,3,4,5,6, 张 勇1,3,4,5,6,童 林1,3,4,5,6,刘 洁1,3,4,5,6,白春学1,2,3,4,5,6*
1. 复旦大学附属中山医院呼吸与危重症医学科,上海 200032
2. 复旦大学附属中山医院厦门医院呼吸与危重症医学科,厦门 361015
3. 上海呼吸物联网医学工程技术研究中心,上海 200032
4. 上海市呼吸病研究所,上海 200032
5. 中国肺癌防治联盟,上海 200032
6. 国际元宇宙医学协会,苏州 215163


[作者简介] 杨达伟,副教授、副主任医师 . E-mail: yang.dawei@zs-hospital.sh.cn
* 通信作者(Corresponding author). Tel: 021-64041990, E-mail: bai.chunxue@zs-hospital.sh.cn

[收稿日期] 2024-09-22 [接受日期] 2024-09-30 [发表日期] 2024-09-30

[基金项目] 国家自然科学基金(82170110),上海市浦江人才计划(20PJ1402400),上海市健康科普人才能力提升专项(青年英才)(JKKPYC- 2023-A20),2020 年度上海工程技术研究中心建设项目(20DZ2254400),福建省自然科学基金项目(2022D014). Supported by National Natural  Science Foundation of China (82170110), Shanghai Pujiang Talent Program (20PJ1402400), Project of Promoting Ability of Medical Science  Popularization for Young Talents in Shanghai (JKKPYC-2023-A20), Project of Establishment of Shanghai Engineering Technology Research Center  in 2020(20DZ2254400), Natural Science Foundation of Fujian Province(2022D014).


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作者贡献 杨达伟、王宁舫、王源:查找参考文献、修改、 定稿;宋元林、胡洁、张勇、童林、刘洁:修改、定稿;白春学:选 题、撰写、修改、定稿。

DOI: https://doi.org/10.61189/719454mngrgc

摘要/Abstract

现代医学对于肺结节的全程管理主要集中在影像学筛查、病理诊断及对病理恶性诊断明确的结节进行干预。但 是,对于影像学诊断证据不足或暂不具备病理活检适应证的群体缺乏有效的治疗干预措施。将人工智能,特别是 GPT,融入医 疗保健可以通过提供持续的个性化支持来革命性地改变患者管理。本研究方案旨在真实世界中评估,与传统咨询相比,基于 GPT的咨询是否能够改善肺结节管理和患者满意度。通过将人工智能置于肺癌早筛的背景下,本研究希望填补当前肺结节管 理实践中的空白,并提供可扩展的个性化解决方案。

Modern medicine’s comprehensive management of pulmonary nodules primarily focuses on imaging screening, pathological diagnosis, and intervention for nodules with confirmed malignant pathology. However, there is a lack of effective treatment  interventions for populations with insufficient imaging diagnostic evidence or who do not currently meet the indications for pathological  biopsy. Integrating artificial intelligence, particularly GPT, into healthcare can revolutionize patient management by providing  continuous personalized support. This real-world based research proposal aims to assess whether GPT-based consultations can  improve pulmonary nodule management and patient satisfaction compared to traditional consultations. By placing artificial intelligence  in the context of early lung cancer screening, this study hopes to fill the current gaps in pulmonary nodule management practices and  offer scalable personalized solutions.

关键词/Keywords: 肺结节;生成式预训练模型;真实世界研究 / pulmonary nodules; generative pre-trained transformer; real-world research

杨达伟,王宁舫,王 源,等 . 基于真实世界评估 GPT 咨询在肺结节管理中的有效性研究方案[J]. 元宇宙医学,2024,1(3): 47-50. 

YANG D W,WANG N F,WANG Y,et al. A real-world study evaluating the effectiveness of GPT-based consultations in lung  nodule management[J]. Metaverse Med, 2024, 1(3):47-50.

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